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Smith, Clifford Earl NEWYORK STATE DEPARTMENT OF HEALTH BYfIB� ' TransitlOIIIS Bureau of YAK Rxwds s Name Frn MieE4 W 5ex IIFnp EarlSmiN Meb Dare of Penn qg if of USRrmeO Fortex 09b3203n OR Year, War ra Wks V f PIK,of Cash HasiUI. er"wbnor W Chro Towner Vd Glens Fa la Si AdJB" made Fab Hwp'W w Nannerw rearm ®Nwnrd Cause ❑amieenl �Ibnkib ❑mxix � uMakmired Pending U tlrtum = Inre:e W MMIralC fwr Name rise O Sean Ban NO AWms 1 W Pen M.Gb¢FW.More York IMI IXwn CenirrAe nor oimil Named Repnm NumEer C' Be Gene Fads Mail 336 ❑RDare Qme=ery.CremalwyorFri4ry Haire ❑ Emamsem ANre55llv%N PinaNw CrartaWy X❑CremMion OuexudnyTwm.lafe Yqk %nm 0 ❑ Rerrrouel hasflee PsmouM F anebr anelmlkW CdN� Hole Address N QTraropnaioo Dade round 5 bvcnmman P cam , DeNnaWn r—lfru ddnat Dare Cai2rery Address ❑Reimemiem DAN Ce„MyAmrter Remit lYuHm hglnrgnn Number med Funeral Kme82 MB parer Nnarellbme.FVIFMep m0i0 Metes Be0howy. lIIEMap. uncured orO Named Furey firm NadrgpaFwifunorm WMm r Add,,,sm5l' edlfOtlrelnangbre Address Q W u Pa,miWMn Is hereby gmnretl rotliapev of me human remains tlaeaibetl ebow as lntllwbM. Hwea OlMok x RMaoard Vlfal smm¢a 'MPbM A^Q Cunu 4eenunuRy sgae9 rpuwo D',dif Number Sam Plan sell Felk. Nan Yah F mPY mm lM r,nana d N.dexcleart nmrwabwe ,me disposal Of in asmreance.nbBar Fears me IN Data d Duposxion Shlu naudDi.pa,bon O. i wm W an ramxl aamai M1a..maa� gNameol Eebno,PermninlM1agM enows11nr S .sad , l W simmre rlk DDwsssslnnnlPsd3 Public HealN Law Sm.4145(2b) J12693 Rmeipt 8 III Human remains of — delivered nn M20 FOCl5W CG11dGy Relnueuting ihcfimual tame vvval on b'Y pelmil _ Official Funnel Mmetws Rq of Wans.. 1 L